Single-operator cholangiopancreatoscopy in pancreatobiliary diseasesclinical experience in a tertiary referral hospital
- Vicente Pons 1
- Noelia Alonso Lázaro 1
- Rodrigo Mansilla Vivar 1
- Esteban Sáez González 1
- Marta Ponce 1
- Lidia Argüello Viudez 1
- David Ramos Soler 1
- Judith Pérez Rojas 1
- James Leathers 1
- Marco Bustamante 1
- Grupo de Investigación de Endoscopia Digestiva 1
- 1 Hospital Universitario y Politécnico La Fe. Valencia, Spain
ISSN: 2340-416, 1130-0108
Año de publicación: 2018
Volumen: 110
Número: 12
Páginas: 748-754
Tipo: Artículo
Otras publicaciones en: Revista Española de Enfermedades Digestivas
Objetivos de desarrollo sostenible
Resumen
Background and aims: to assess the usefulness, efficacy and safety of single-operator cholangiopancreatoscopy (SOCP) with the SpyGlass™ system for the management of biliopancreatic diseases. Methods: a retrospective analysis of patients undergoing SOCP with the SpyGlass™ between September 2008 and April 2016 was performed. Data was obtained from a prospectively-maintained database at a tertiary referral center. The primary study outcomes were technical and complete endoscopic success of the procedure. Two different SpyGlass™ systems were employed; the former is called legacy and the latter, digital system (DS). Results: a total of 107 SOCP procedures in 93 patients performed by a single operator were analyzed. Technical success of the SpyGlass™ examination was achieved in 90/93 (97%) of patients and complete success by resolving the biliopancreatic condition in 82/93 (88%) cases. In indeterminate biliary strictures, a complete success was achieved in 45/52 (85%) of cases. With regard to stone treatment, technical success was achieved in 34/34 (100%) patients and complete success, in 31/34 (91%) cases. Electrohydraulic lithotripsy was applied in 16/34 (47%) of cases. There were a total of 7/93 adverse effects (7.5%). Conclusions: SOCP is a useful and safe technique for the treatment of biliopancreatic diseases with a low rate of adverse effects. The procedure seems technically demanding and dedication is required.